Active NPI
Your Home Speech Therapy
Doing business as Brainfood Speech Therapy
- Speech-Language Pathologist
- Tulsa, OK
National Provider Identifier
1891347555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- YOUR HOME SPEECH THERAPY
- Doing business as
- Brainfood Speech Therapy
- Practice address
- 5550 S Lewis Ave # 305
Tulsa, OK 74105-7118 - Phone
- (918) 515-0995
- NPI assigned
- Jul 12, 2019
- Organization subpart
- Yes
- Parent organization
- YOUR HOME SPEECH THERAPY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristen Harris, SLP
- Title
- Owner/SLP
- Phone
- (918) 515-0995
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
5550 S Lewis Ave # 305
Tulsa, OK 74105-7118
Mailing address
26124 E 90TH St S
Broken Arrow, OK 74014-3263
Phone (918) 515-0995
Other practice location 1
26124 E 90th St S
Broken Arrow, OK 74014-3263
Phone (918) 515-0995
Other names 1
- Brainfood Speech Therapy
National Provider Directory
National Provider Directory- Part of
- Your Home Speech Therapy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562889600000",
"number": "1891347555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26124 E 90TH ST S",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740143263",
"telephone_number": "918-515-0995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5550 S LEWIS AVE # 305",
"city": "TULSA",
"state": "OK",
"postal_code": "741057118",
"telephone_number": "918-515-0995"
}
],
"practiceLocations": [
{
"address_1": "26124 E 90th St S",
"address_purpose": "LOCATION",
"city": "Broken Arrow",
"state": "OK",
"postal_code": "740143263",
"country_code": "US",
"telephone_number": "918-515-0995",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "YOUR HOME SPEECH THERAPY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "YOUR HOME SPEECH THERAPY",
"enumeration_date": "2019-07-12",
"last_updated": "2019-07-12",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "KRISTEN",
"authorized_official_title_or_position": "OWNER/SLP",
"authorized_official_telephone_number": "918-515-0995",
"authorized_official_credential": "SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brainfood Speech Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.